Liao Hung-Yi, Chen May-Show, Yang Ya-Fen, Liao Pei-Bang, Feng Sheng-Wei, Juan Po-Kai
Division of Prosthodontics, Department of Dentistry, Taipei Medical University Hospital, Taipei, Taiwan.
School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan.
Case Rep Dent. 2021 Oct 19;2021:8694775. doi: 10.1155/2021/8694775. eCollection 2021.
Ameloblastoma is a benign but locally invasive neoplasm of the odontogenic epithelium that tends to grow slowly in the mandible or maxilla. It can be highly destructive to the surrounding dental anatomy and can cause death by progressive spread to nearby vital structures in rare cases. Marginal resection is the most effective method of eliminating the tumor, but treatment can further contribute to oral and dental deformity and malfunction. This clinical report describes the dental rehabilitation of a young adult patient diagnosed with ameloblastoma and underwent preliminary marsupialization, segmental mandibulectomy, and fibula free flap reconstruction, followed by mandibular dental implant placements. Orthodontic and rapid palatal expansion for maxillary arch correction was also performed. The treatment goal of regaining dental function and a satisfactory appearance was accomplished.
成釉细胞瘤是一种良性但具有局部侵袭性的牙源性上皮肿瘤,倾向于在下颌骨或上颌骨中缓慢生长。它对周围牙齿结构具有高度破坏性,在极少数情况下可通过逐渐扩散至附近重要结构而导致死亡。边缘切除是消除肿瘤最有效的方法,但治疗可能会进一步导致口腔和牙齿畸形及功能障碍。本临床报告描述了一名年轻成年患者的牙齿修复情况,该患者被诊断为成釉细胞瘤,接受了初步袋形缝合术、下颌骨节段切除术和游离腓骨瓣重建术,随后进行了下颌牙种植体植入。还进行了正畸和快速腭扩展以矫正上颌牙弓。恢复牙齿功能和令人满意外观的治疗目标得以实现。